Vol. 2 No. 2 (2024): EUROASIAN HEALTH JOURNAL

This retrospective study analyzed data from 928 patients who underwent IgG antibody testing for echinococcosis at Blood Cells Laboratories in Armenia from 2015 to 2023. Antibodies were detected using the Cobas e411-Roche Diagnostics automatic immunohematological device, employing the immunohemiluminescence method. Statistical analysis was conducted using SPSS version 13.0 for Windows, with a significance level set at P < 0.05.Results revealed a mean IgG positivity rate of 5.2%, with rates varying between 3.9% and 8.6% across the study period. Male patients constituted 54.2% of IgG positive cases. The mean age of IgG positive patients was 38.7±1.5 years, with significant proportions observed in the 40–59 age group and among children aged 10–18 years.Echinococcosis affected various organs, with 115 cysts identified in the lungs, liver, and spleen. Most cysts were found in the lungs (46.1%) and liver (33.9%). Risk factors included animal contact, particularly among farmers with cattle and pets, as well as travel history to Russia for work.
The study highlights the higher IgG positivity rate compared to previous decades and emphasizes the importance of targeted interventions, especially among rural populations engaged in farming and livestock rearing. The mean cyst count per patient exceeding two underscores the severity of the disease and warrants comprehensive management strategies.

This review article analyzes literature data using the resources of the PubMed and eLibrary databases from 2013 to 2024 about modern tools for determining the risk of stroke. The worldwide implementation of the Stroke riskometer ™ application provides a clear picture of the global prevalence of stroke (and risk groups). The app allows you to calculate the risk of stroke for the next 5 or 10 years for anyone over the age of 20 based on their responses to a short questionnaire.To make the app available to as many people as possible, the app has now been translated into 20 of the most widely spoken languages in the world. This application is also available in Kyrgyz. Stroke riskometer ™ is not only an important tool for spreading knowledge about stroke risk factors and methods of their correction. This app also describes the main non-communicable diseases (stroke, coronary heart disease, diabetes, etc.) It can become a revolutionary method of conducting epidemiological research at the international level. It can be used to provide information about the risk of stroke to a significant part of our population, and its use also helps to reduce burden of other non-communicable diseases.

This article presents the results of a survey of schoolchildren from the 3rd secondary school in Bishkek during the period from September 10, 2023 to December 30, 2023. Behavioral risk factors for contracting parasitism were assessed. A survey was conducted on 1105 school-age children, of which the share of children from 10 to 11 years old was 28.6%, from 12 to 13 years old - 39.1% and school age 14 years old was 32.3%, and of them 50.7% are girls and 49.2% are boys. The structure of respondents was dominated by persons in the age categories of 13 years (40.45%), 12 years (17.92%) and 10 years (16.83%). Respondents testified that they wash their hands two or three times during the day - morning and evening. Thus, 30.1% wash their hands in the morning, 28.7% in the evening, and 25.5% of respondents wash their hands before eating, and 24.9% wash their hands after visiting the toilet.

Immune thrombocytopenia (ITP) is an autoimmune disease characterized by a low platelet count and mucocutaneous bleeding. Many viruses have been identified as autoimmune triggers, including human immunodeficiency virus (HIV), hepatitis C virus (HCV), Epstein-Barr virus (EBV), cytomegalovirus (CMV), parvovirus, rubella, and measles. A rare association with the novel severe acute respiratory syndrome coronavirus, SARS-CoV-2 infection (Covid-19 infection),
has been reported. Here we report a case of ITP in an elderly patient caused by a novel coronavirus infection. He demonstrated an inadequate response to IVIG but responded to corticosteroids without serious side effects. Further research is needed to determine optimal therapeutic strategies for ITP in Covid-19 infection.

Von Willebrand disease (VWD) is a genetic bleeding disorder related to quantitative and/or qualitative abnormalities of the Von Willebrand factor (VWF). This blood disorder, which often undergoes both underdiagnosis and overdiagnosis, is frequently misdiagnosed, resulting in prevented suffering for patients and increasing the burden on the healthcare system. This complex problem is driven by the diversity and pattern of the von Willebrand factor (VWF) and related anomalies, as well as the inevitable need to integrate robust and laboratory data to arrive at an accurate diagnosis, especially in the Central Asian regions. Misdiagnosis of VWD can indeed have serious consequences, potentially leading to increased morbidity and mortality in patients. Overdiagnosis can lead to unnecessary diagnoses and also potentially expose patients to increased thrombotic risk during therapy.
Despite this, VWD is often being misdiagnosed all around the globe. This review will cover the problems faced during the diagnosis of VWD from the 19th century to the present day and suggest how to improve the situation.

Along with the progressive increase number of patients with diabetes mellitus, the number of people with good glycemic control remains low, and therefore the risks of cardiovascular complications, including heart failure, are quite high. Among the new technologies to reduce glucose levels and risks of heart failure we studied a drug from the group of sodium-glucose cotransporter type 2 - empagliflozin, which focuses on new molecular targets: by improving the formation of adenosine triphosphate as a result of oxidation of ketone bodies, improving cardiac efficiency. In this article, we reviewed the existing science-based literature to analyze the effect of empagliflozin on treatment efficacy in patients with type 2 diabetes mellitus combined with heart failure, depending on ATP levels.

Purpose of the study: to study the incidence of comorbid pathology that increases the total cardiovascular risk in patients with arterial hypertension (AH). Material and methods: the study was conducted within the framework of the project “Analysis and assessment of factors determining the control of management of patients with arterial hypertension and other cardiovascular diseases in the Kyrgyz Republic”, supported by the Swiss project “Effective management and prevention of non- communicable diseases in Kyrgyzstan”. Medical records of patients registered with a diagnosis of hypertension for 2022 were analyzed. To conduct the study, groups of family doctors (FGPs) were used as the Primary Sampling Unit (PSU). FGPs were selected using probability sampling proportional to population size. Patient medical records - Secondary Sampling Units (SSUs). 40 medical cards were selected from one FGP. 3675 medical records of patients with hypertension throughout the territory of the Kyrgyz Republic were studied. The age of the patients ranged from 19 to 93 years (mean age 62±9 years). The majority of those surveyed were women (2567 respondents - 69.9%), men - 1108 people (30.1%). Research results. Among comorbid diseases, the most common were coronary heart disease (46.5%), angina pectoris (31%), and obstructive sleep apnea syndrome (22.4%). Among men, the most common were coronary heart disease (55.0%), angina (38.8%), and chronic heart failure (26.9%), and among women - coronary heart disease (42.8%), angina ( 27.7%), obstructive sleep apnea syndrome (22.3%). Conclusion. In patients with hypertension, in 85% of cases, comorbid pathology was recorded, which significantly aggravated the patient’s condition and increased the total cardiovascular risk. At the same time, among concomitant diseases, cardiac pathology predominated, primarily various variants of coronary artery disease, the frequency of which prevailed in men compared to women.

One of these geriatric syndromes is urinary incontinence syndrome, or incontinence. According to clinical and epidemiological studies, it affects at least 30-80% of elderly and senile women and at least 20-30% of men. At the same time, the incidence of incontinence due to the above- mentioned problems is only on average about 5% of all those in need. As a result, incontinence is included in the geriatric cascade of other geriatric syndromes, which leads to the negativity of geriatric status, decreased functionality, quality of life and increased dependence on others. The proposed geriatric approach to the management of patients with urinary incontinence, aimed at the dynamic and sarcopenic links of the pathogenesis of incontinence, provides a more pronounced effect in comparison with the traditional one, consisting in a significant reduction in the amount of incontinent urine against the background of an increase in general physical activity, improved muscle function and improved psychological status in the form of elimination of symptoms of anxiety and depression associated with incontinence.

The purpose of the work was to analyze the tincture of calendula officinalis flowers, which is part of a therapeutic and cosmetic ointment with phytocomponents, for the content of biologically active substances.
The object of the study is the flowers of calendula cultivated in the Turkestan region and the tincture of calendula officinalis flowers
Used physico-chemical and technological methods of analysis.
At the first stage, a tincture of calendula officinalis flowers using 70% alcohol was prepared by the method of modified maceration. The sum of flavanoids and carotenoids was determined as the necessary components for the selected dosage form. The optical density was measured using a spectrophotometer using cuvettes with a thickness of 10 mm at a wavelength of 412 nm to determine the amount of flavanoids. 
The amount of carotenoids was determined using the optical density of the test solution on a spectrophotometer at a wavelength of 450 nm in a cuvette with a layer thickness of 10 mm. Hexane was used as a comparison solution. The amount of carotenoids in the tincture was calculated in terms of β-carotene in mg%.
Thus, the methods of obtaining tincture from calendula officinalis flowers as a basis for the development of dosage forms with phytocomponents are substantiated.

Cystic echinococcosis (CE) caused by Echinococcus granulosus is a parasitic infection affecting various organs, with hepatic cystic echinococcosis being prevalent in up to 75% of CE cases. While more common in less developed nations, hepatic CE poses clinical management challenges globally. Treatment modalities encompass both medical and surgical interventions. Endocystectomy offers a conservative surgical approach to hepatic CE, avoiding extensive liver resection.
The management of residual cavities post-surgery involves a combination of medical therapy and surgical intervention. Albendazole serves as the primary medical treatment, administered pre- and post-operatively to reduce parasite viability. Surgical options include percutaneous techniques such as PAIR and surgical resection, aiming for complete cyst removal while preserving hepatic function. Management of cyst-biliary fistula is crucial to address biliary complications.
Long-term follow-up is essential to monitor treatment response and detect recurrence. Postoperative complications, including biliary leakage and residual cavity infections, require vigilant management. Symptomatic residual cavities can manifest with fever and jaundice due to infection or biliary communication.
A case presentation underscores the challenges in managing residual cavities post-hepatic cystic echinococcosis surgery. Percutaneous intrahepatic drainage, guided by imaging, followed by alcohol ablation, effectively controlled bile flow and promoted cavity healing.
In conclusion, percutaneous intrahepatic drainage remains a key strategy for managing residual echinococcal cavities, with alcohol ablation as adjunctive therapy to halt bile flow and expedite cavity resolution.

This research aimed to enhance the efficacy of surgical treatment for liver echinococcosis by incorporating cutting-edge technologies. Over a decade, 213 patients underwent surgery at the "Astghik" Medical Center, with 43 individuals presenting complicated forms of the disease. The patients were divided into two groups: the first undergoing open echinococcectomy (159 patients), and the second undergoing closed echinococcectomy using advanced equipment (54 patients).
The study provided comprehensive insights into patient demographics, concomitant diseases, and diagnostic methods, emphasizing the importance of serological reactions for accurate diagnosis. Notably, the second group's closed echinococcectomy demonstrated superior outcomes, including shorter treatment durations, reduced postoperative bleeding, and fewer complications compared to the open surgery group. Furthermore, the recurrence rate in the closed echinococcectomy group was significantly lower, highlighting its efficacy in preventing disease relapse.
Postoperative care and outcomes were meticulously examined, showcasing that patient in the closed echinococcectomy group experienced quicker recovery and fewer complications, leading to a higher rate of complete recovery upon discharge. The study also addressed the financial aspect, emphasizing the cost-effectiveness of the closed echinococcectomy approach, reducing financial burdens associated with antiparasitic drug treatment.
In conclusion, the research underscores the benefits of closed echinococcectomy, recommending its preference whenever possible due to its effectiveness in preventing complications, reducing recurrence rates, and optimizing postoperative recovery, all contributing to improved patient outcomes.

Objective: to improve the results of surgical treatment of patients with achalasia of the cardia (AC) by improving some stages of Heller's operation using modern laparoscopic technologies.
The results of treatment of achalasia of the cardia of 35 patients are presented, men were 16, women – 19. The age ranged from 18 to 69 years, mean age was 49±5.4. The duration of the disease ranged from 1 year to 9 years. 28 (80%) patients had a body mass index (BMI) below 18.7 kg/m², mean BMI was 20.7±3.1 kg/m2. There were 26 (74.3%) with stage III disease, 7 (20%) with stage II and 2 (5.7%) with stage IV. The diagnosis was confirmed on the basis of fluoroscopy, endoscopy. Patients underwent extramucosal anterior extended esophagocardiomyotomy according to Heller with esophagocardiogastroplasty in modification of our clinic. Long-term results were traced in 24 (68,5%) patients in the period from 6 months to 5 years. Intraoperative complication in the form of esophageal mucosa perforation was in 2 (5,9%) patients, the defect was sutured. There were no fatal cases. The average score of Eckardt scale before surgery was 9.2±2.1, before discharge 1.7±0.2, and ≥6 months after surgery 1.3±0.4. No recurrence of the disease was noted. The advantages of this
method are efficiency, low risk of complications, possibility to eliminate the occurred complications during the operation, prevention of reflux esophagitis and Barrett's esophagus development.

Objective: Improving the stages of Nissen fundoplication during laparoscopic operations to improve the results of surgical treatment of patients with GERD. The results of surgical treatment of 82 patients with GERD are presented. The diagnosis was established by endoscopy, fluoroscopy and application of the international Gerd-Q questionnaire. Patients underwent surgery in the scope of cruorrhaphy and Nissen fundoplication. Taking into account the disadvantages of Nissen fundoplication, we improved the stages and introduced ways to prevent complications by using a special probe during surgery and mandatory "capture" of the esophageal-diaphragmatic ligament on the anterior wall of the esophagus during the formation of the fundoplication cuff. No specific complications related to the operation were noted. There were no fatal cases. The patients were discharged from the clinic after the operation with recovery. The long-term results were traced in 57 (69,5%) patients in the period from 6 months to 5 years after the operation. The results were considered as good, all of them felt satisfactory at the time of examination. The obtained good results, improvement of patients' quality of life justify our chosen method of complications prevention at surgical treatment of GERD.

Cervical cancer occupies one of the leading positions in the structure of malignant neoplasms of the reproductive system organs. Treatment of localized forms of cervical cancer gives good results in the 5-year overall and recurrence-free survival rate. And in localized forms, given the relatively low rates of long-term results, the choice of optimal treatment tactics is still debatable. Objective: to study the incidence and types of early complications after surgical and radiation treatment in the combined and complex treatment of cervical cancer (CC) stage IIb. The material for the study was retrospective data of 75 patients with histologically verified primary stage IIb cervical cancer diagnosis. We used the following methods: medical history, gynecological status, oncomarkers, histological examination from a cervical tumor, and pelvic ultrasonography. This article presents a retrospective analysis of early complications of cervical cancer after combined or complex treatment. The types and frequency of early complications depending on the method of treatment were studied. Results: in the group of patients after complex treatment, the most frequent complications were marked prolonged lymphorrhea in 38,8% and bladder atony in 16,6% of cases. Pre-clavian inflammatory infiltrates were observed only in 2 patients (11%). And in the combined treatment group the most frequent complications were radiodermatitis 25%, rectitis 37,5%, cystitis 43,7%, fistulas such as rectovaginal-vaginal and cyst-vaginal were observed in isolated cases. Analysis of the data demonstrates that complications after surgical and radiotherapy are different, and difficult to compare. The number and severity of complications in the complex treatment group is somewhat lower than in the combined treatment group and they are easily eliminated within a short time with minimal impact on the quality of life and condition of the patient, rather than in the control group, where complications after treatment remain for a long time (months and years).

The purpose of this study is to evaluate the effectiveness of bilateral vascular ligation in massive obstetric hemorrhage. Materials and methods of the study: this report discusses 495 cases of stopping massive obstetric hemorrhage during the provision of urgent care through air ambulance in maternity hospitals of the Kyrgyz Republic. Results: bilateral vascular ligation (ligation of uterine and/or internal iliac arteries) and antifibrinolytic therapy were used in all cases to stop massive obstetric hemorrhage. In our observations, out of 495 critical cases with the use of bilateral vascular ligation, 52.5% (261 cases) of operations were completed without removal of the uterus. Also, in cases of hysterectomy (234 cases), bilateral vascular ligation contributed to a decrease in blood loss. Conclusion: bilateral vascular ligation is a safe and relatively simple method for stopping hemorrhage during cesarean section in the context of urgent care for life-threatening hemorrhage.

Medical abortion has revolutionized access to quality abortion services in obstetrics and gynecology. However, the issues of termination in the second trimester of pregnancy in women with a uterine scar still remain controversial. The urgency of the problem is associated with such a serious obstetric complication as uterine rupture along the scar. Objective. To evaluate the effectiveness and safety of medical abortion in patients at 18-22 weeks of pregnancy. Materials and methods. A prospective cohort study was conducted without blinding (pregnant women and doctors knew which method was used to terminate the pregnancy). 15 patients were included in the gestational age of 18-22 weeks, including 7 with a uterine scar after a previous cesarean section. For the purpose of medical termination of pregnancy, a combination of mifepristone and misoprostol was used. A clinical and statistical assessment of the obtained data was carried out. Results. The total duration of abortion after taking misoprostol was on average 9.5 (95% CI 8.346-10.168) hours and did not differ in the group of pregnant women with a uterine scar - 9.8 (95% CI 9.346-10.202) hours and without a uterine scar - 9.6 (95% CI 9.356-10.217) hours (p>0.05). The volume of blood loss was in the range of 180.0 (95% CI 150.0–200.0) ml. A positive effect was achieved in 100% of cases. Pathology associated with the separation of the placenta was identified in 2 (13.3%) cases in the presence of a scar on the uterus after cesarean section. Conclusion. The presence of a previous uterine scar after cesarean section did not affect the duration of abortion. In most cases, for successful termination of pregnancy at 18-22 weeks, the maximum dose of oral misoprostol was 1200 mcg.

COVID-19 is an acute respiratory infection caused by the SARS-CoV-2 coronavirus. The emergence of the SARS-CoV-2 virus raised immediate concerns about the impact of infection on a pregnant woman. Aim of the study: assess the impact of the new coronavirus infection on the structure of maternal mortality in the Kyrgyz Republic for 2020. Materials and methods. A retrospective study of all cases of maternal mortality in the Kyrgyz Republic for 2020 was conducted. To estimate the odds ratio (OR) of maternal mortality indicating the 95% confidence interval (CI) in the group of women who died due to COVID-19, in comparison with other causes, binary logistic regression models were used including the following clinical data of mothers: preterm birth, obesity, gestational diabetes mellitus, severe preeclampsia and method of delivery. Results. Of all cases of maternal mortality in 2020, the proportion of deaths from causes related to COVID-19 was 39.7% (27 out of 68 cases). In the group of those who died from COVID-19, there was a higher likelihood of early delivery (OR=3.801 [2.484-5.815]) and the development of severe preeclampsia (OR 5.801 [7.484-3.815]). Obesity was an additional risk factor for maternal mortality in COVID-19 (OR 4.196 [3.101–5.676]). Conclusion. Mortality from COVID-19 in 2020 statistically significantly changed the overall maternal mortality rate in the Kyrgyz Republic, amounting to 44.1 cases per 100,000 live births, versus 26.1 in 2019. Risk factors for maternal mortality in COVID-19 include obesity, diabetes mellitus and severe preeclampsia.

Computed tomography (CT) has become an integral tool in the diagnosis and treatment of otolaryngological diseases. This article discusses the role and significance of the use of computed tomography in otolaryngology, and also compares its advantages compared to traditional x-ray examination.
The use of computed tomography in otolaryngology provides a high degree of accuracy in visualizing the structures of the ear, nose and throat, which makes it possible to diagnose various pathologies with high sensitivity and specificity. CT has the ability to create three-dimensional images, which facilitates the understanding of anatomical relationships and allows for more accurate planning of surgical interventions.
The main advantages of computed tomography in otolaryngology compared to traditional x-ray examination are higher resolution, the ability to visualize in detail soft tissues and pathological changes, as well as improved diagnostic information about the structures of the middle and inner ear.
Thus, computed tomography plays an important role in the diagnosis and treatment of otolaryngological patients, providing more accurate and complete information about pathological processes and anatomical structures. Its advantages over traditional x-ray examination make it the preferred examination method in many clinical situations.

The COVID-19 pandemic has had a significant impact on public health around the world. Patients who have suffered from the disease face a number of complications and consequences, including problems in the field of otolaryngology and audiology. Coronavirus infection SARS-CoV- 2 causes damage to the respiratory tract, manifested in a mild form with rhinorrhea, loss of smell and/or taste, and in a severe form with pneumonia and fever. Mostly, patients complain of respiratory symptoms, for which the most promising for rehabilitation are the first two to three months after the acute period of coronavirus infection. In this study, we analyzed the health status of otolaryngology patients after COVID-19 and examined the challenges faced by specialists in the post-Covid period. The purpose of this study is based on assessing the health status of ENT patients after suffering from COVID-19 illness and identifying the problems faced by otolaryngologists and audiologists when treating patients in the post-Covid period. Assessment of health status after COVID-19 disease
includes a comprehensive laboratory examination to assess the condition of organs and systems that are most often affected by COVID-19 disease. In this study, we analyzed the health status of ENT patients after COVID-19 and examined the challenges faced by specialists in the post-Covid era.

The article presents the results of study of the characteristics of sexual crimes against in 2022-2023.
It has been established that sexual crimes against minors have a comparative tendency to increase (in 2022 – 97, in 2023 – 130 cases with almost the same total number of examinations conducted over these years (4118 – 4109, respectively).
In the age aspect, in 2022, child’s younger 13 years of age accounted for 18.56%, persons from 13 to 18 years of age – 81,44%. In 2023, these figures were 21.5% and 78.46% respectively. By type of crime, rape in 2022 occurred in 59.79% of cases, indecent assault – 30,92%, in 2023 rape amounted to 49,2%, indecent assault – 24.6%. Sexual acts with the consent of minors themselves in 2022 – 5, 154 cases, in 2023 13.1%. In such cases, the accused were prosecuted under the article sexual acts with a person under the age of 16.
A fresh rupture of the hymen in 2022 was detected in 5 cases (5,15%), in 18 cases (18,56%) the old rupture of the hymen, and in 2023 a fresh rupture occurred in 7 cases (5,38%), and in 27 cases (21.52%) an old rupture of the hymen.
“Permitting” hymen in 2022 occurred in 29,9% (29), in 2023 – in 33, and 8% (44 cases).

The article reflects the frequency and structure of serious and less serious bodily injuries in 2021-2022 according to the materials of the Republican Center for Forensic Medical Examination (RCME).
It was found that in 2021 the total number of serious and less serious injuries amounted to 799 out of the total number of examinations conducted (5,644 cases), in 2022 312 out of 5,104 cases. Both in 2021 and in 2022, serious and less serious harm was determined in case of transport injury (476 and 547, respectively), then in case of street blunt trauma (216 and 239, respectively).
By age composition, a significant proportion of serious and less serious injuries occurred at the age of 18-50 years, characterizing vulnerability during this period of life, which is the most able-bodied, functionally active and mobile group, which has a certain social, economic, legal, medical and demographic significance.
At the same time, the impact of blunt solid objects, mainly in street injuries (216 and 239, respectively), with a significant increase in the number of transport injuries in 2022 (547 cases versus 476), with a sharp decrease in industrial injuries (14 versus 1 case). At the same time, in 2022, there was a significant decrease in the total number of forensic examinations (5,644 versus 5,104 in 2021). In 2021, injuries with sharp objects occurred in 9 (1%) cases, in 2022 - 14 (2.6%) cases.

In forensic medical practice, pathological conditions are often identified that are discovered by chance, more often during commission or complex examinations. Such findings are subsequently assessed by the victims as the action of an external mechanical factor. The papper presents an expert case of detection of a disease of the musculoskeletal system at X-Ray and MRI examination of the knee joint in the presence of blunt trauma of the lower extremity in the anamnesis. Also, tactical medical failure in providing traumatologic care, which led to suppuration of hematoma with subsequent development of osteomyelitis of the tibia. The detected Osgood-Schlatter disease did not manifest itself in any way in the normal life of the child, which required the establishment of a causal relationship of the trauma with the revealed pathology.

The article is devoted to understanding the importance of the value of health, considering the influence of certain factors on human health, based on the relationship between health, lifestyle, spiritual and moral values, objective and subjective factors. In contentthe articles highlight the problems and tasks associated with the maintenance of a healthy lifestyle by a modern person, the preservation and improvement of his health. It is emphasized that in order to solve these problems and tasks, it is necessary to combine efforts on the part of the state, health care, institutions and agents of socialization of the individual, as well as the individuals themselves, social groups.Only through the joint efforts of all participants in society can effective measures be taken to promote a healthy lifestyle, prevent diseases and improve the quality of life of each person.
Indicators indicating the state of health vary depending on the age, gender, diet, living conditions and activities of each person. Therefore, health is determined taking into account the subjective state of each person and anthropometric, clinical, physiological, biochemical parameters, and with them gender, age, and climatic conditions. For example, a healthy person living in a valley will feel much worse when he goes to a high altitude, unable to adapt to lack of oxygen and low atmospheric pressure in high-altitude conditions. That is why, when adapting to high altitude, he feels sick, the body's adaptation mechanisms become very strong, but health is not impaired in this case.

The discipline of the Kyrgyz language and Kyrgyz literature is determined in accordance with the needs of the individual, taking into account the development of the education system in schools and educational institutions of the Kyrgyz Republic to ensure the diverse, changing, necessary needs of the individual.The issue of developing the oral communication skills of university students is considered, possible ways to improve students' speech and solve these problems are developed. Issues related to the formation of educational institutions in the Kyrgyz language, the study of educational materials in national languages, adaptation to students and teaching strategies will be considered. The most important thing is that students become responsible and creative people in their work and life.
Our goal is to create conditions for students to conduct research, write various projects, set goals and achieve them.
The state standard is implemented through a system of normative documents (or curriculum) that ensure the construction of an education system on a competent basis and coordinate school education with the social order of society: 1) Subject standards; 2) curricula; 3) educational and methodological complexes.
The State standard is the basis for the development of subject standards, curricula and basic educational programs.

This article is devoted to the current problem of distance education. The article presents the resources of distance education technologies for teaching a foreign language. An analysis of the use of forms of distance learning in the education of students at the present stage of social development in comparison with the classical form of education is presented. The basic concepts and features of distance learning are considered. The emphasis is placed on the features of organizing the educational process using distance technologies. In the process of training modern specialists in higher labor schools, the importance of educational work is touched upon. The experience of the I.K. Akhunbaev Kyrgyz State Medical Academy is presented.

Lullabies are found in oral folk art of almost all peoples of the world. By the nature of their performance, lullabies are dedicated to babies. It is mainly performed by the mother of the child. The meaning and theme of lullabies reflects the life of his parents. They are melodiously accompanied by a pleasant voice.
In this article, we focused on lullabies, which are an integral part of Kyrgyz children's folklore, as well as the role of raising a child. Thus, the influence of lullabies on the development of a child was examined. From a medical point of view, we tried to reveal through the opinions of scientists and researchers the influence of songs on the harmonious development of the baby.